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HomeMy WebLinkAbout33784-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34040 Date: 10/27/09 THIS C~u(TIFIES that the building ALTEP~ATIONS Location of Property: 1390 ORIOLE DR SOUTROLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 55 Block 6 Lot 15.40 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 25, 2008 pursuant to which Building Permit NO. 33784-Z dated APRIL 3, 2008 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is KITCHEN RENOVATION AMD CENTRAL AIR CONDITIONING IN AM EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to RICHARD HOM of the aforesaid building. (OWNER) S~FFOLK COUI~TYDEP~/~T~T OF ~]~%LTHAPPRO~L N/A EI~C~ICAL ~TIFIC3%~ NO. 08-7862 10/27/08 ~L~ERS c~KTIFICATION Da'r~ 01/21/09 RICHARD HOM ~zed~ Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the lbllowing: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy- $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: Date. ,c/a6 loci Old or Pre-existing Building: (check one) House No. Street Owner or Owners of Property: ~ t t_ ,q.q ~. f Suffolk County Tax Map No 1000, Section Hamlet Block OOo/o Lot ors-. 05//3 Subdivision Permit No. ,5 _~ -t~' q Health Dept. Approval: Date of Permit. Filed Map. Lot: ~'/3/o ~" Applicant: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ .aS'~ -- 3 / Final Certificate: ,,/ (check one) Applicant Signature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED} PE~AMIT NO. 33784 Z Date APRIL 3, 2008 Permission is hereby granted to: RICHARD HOM 1390 ORIOLE DRIVE SOUTHOLD,NY 11971 for : INSTALLATION OF A CENTRAL AIR CONDITIONING SYSTEM AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 055 pursuant to application dated MARCH Building Inspector to expire on OCTOBER 1390 ORIOLE DR SOUTHOLD Block 0006 Lot No. 015.040 25, 2008 and approved by the 3, 2009. Fee $ 200.00 Authorized Signature Rev. 5/8/02 ORIGINAL BLDG. DEPT. TOWN OF SOUT~OLO chen Remodeling for 1390 Oriole Drive, Southold Contractor indicated that PVC pipe was used to reconnect pipes, and that no soldering was used in any pipe connections in the kitchen remodeling. Electrical Inspectors, Inc. 308 East Meadow Avenue East Meadow, NY 11554 Office: (516) 794-0400 (631)396-7474 Fax: (516) 794-5854 Website: www.elec~calinspectors.com Email: info~electricalinspecmrs.com Mail To: East County Electric, Inc. William Oster/Bruce Oster PO Box 2620 Aqueboque, NY 11931 License#: 1005E Certificate Number: 08-7862 Municipality: Southold, Town Of Inspector: 124 lssue Date: I0/27/200~/~ Property Address: Hom 1390 Oriole Drive~,,,. Southold, ELECTRICAL A P P Rf / .) 0 VA R TIFI CA TE AREAS LISTED BELOW ARE APPR/OyE ~/BY INSPECTION Y/ATIONAL ELECTRIC CODE No visual defects were found for the elect~cal inspection pn~ No on~'bv~ i~..unsatisfacto~y conditions w~re found in the areas herein below only. '~ ? Residential Inspection Central J/C Units 2-30AmpA/CCondensors, 2-2OAmpA/Cy~ / Duplicate Originab'MH 11/14/08//]/ Richard M, Bivone President Philip F. Goehrin8 Chief Electrical Inspector Not valid unless signed by an / v TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] INSULATION ~FINAL [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION REMARKS: TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]RRB RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARKS: - INSPECTOR DATE FmLD LNSPECTION REPORT FOL~Wl)ATION (IST) FO~DATION (ZND) ROUGH F~G & PL~G [NSL~ATION PER N. Y. STATE ENERGY CODE F~ ~DITION~ COUNTS TOWN OF SOUTHOLI5 BUILDING DEPAilTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined ~l(/fl ,20 ~ Approved ~/.~ , 20D~ Disapproved a/c Expiration /0/.3, 20 O] PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying'? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Mailto: Phone: · Build'lng Inspector APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS ,20o ' a. Th~s application MU~T~e ~ompletely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets ofplaris; accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced belbre issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not beeu completed within 18 months from such date. If no zoning amendrucuts or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suftblk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. USE IS UN,.AWF (Signature of applicant or name, ifa corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises If applicant is a corporation, signature of duly/l~_~lt~$¢,t ' ~>fficer: - ~' .~c '~ ,, ' 71' 7HE REQU!i i ?i~ Oi: /HE (Name and title of corporate officer) C :DES OF NEVV r,,): k SI'ATE. Builders License No. Plumbers License No. 3'~r7- P Electricians License No. 5-~ t_q-F Other Trade's License No. UNDERWRFERS CERllFIOATE (As on the tax roll or latest ALL. CCd91 J '.: Location of land on which proposed work will be done: Op, ole_ L 'ST *' :' ,, ~:FTHE RE"~UfR;. 'E 4iS" - ......,, ;, .C:2 OF NEW Y~* K ST,A~Z NOT - .j' ". ,. ¢ ,qLb FOR . B~iGN OR CO~$oT.~uCT,OJ ERRORS. House Number Street County Tax Map No. 1000 Section Subdivision Hamlet Lot Ot..q'. oqo Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~,~s~--b_ o~e---~,,,&,i b. Intended use and occupancy ?c,~ o~-~,~l~ 3. Nature of work (check which applicable): New Building_ Addition Alteration Repair Removal Demolition Other Work ee~( ~ ~ ~,~ ~e ~o~ ~ ~ ~o~ ~ 0 ~'~ : *~ ~t ~3~oq (~h~3(Descnpnon) 4. Estimated Cost q/~, o~ Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units 5'~,~ Number of dwelling units on each floor If garage, number of cars ~ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear -,o .ct Depth ~,-/-5o ~c-~. Dimensions of same structure with alterations or additions: Front '7og~ Rear -~o~t Depth ~-q'-3ogt Height. Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth to/ti 9. Size of lot: Front /~1,~ -Cfi.. Rear /'~30,t:'~ .Depth 10. Date of Purchase /~-//?/o '7 Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO ~/ 13. Will lot be re-graded? YES __ NO ,/ Will excess fill be removed from premises? YES NO 14. Names of Owner of premises 'Rt¢~ca4~l~ '~ Address ~,,ta.,o,,~ , *,,~ tt,gto Phone Name of Architect Address Phone No Name of Contractor b, lic O,q~o,. '~,,.o,& K, itc,3 Address '70* do,,,,,-¢l A,~. Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES__ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES__ NO ,/ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO J 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES__ · IF YES, PROVIDE A COPY. NO ,/ STATE OF NEW YORK) SS: COUNTY OF~ ~ ~C ~4 ~l- R B C do ~A being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the O{l )F)~F- (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this c::Q ~ day of f'~ ~ 20 0</5.- (~ N~aw Pu~l~ ~~~ Si~ature of Applicant Trane: Products: Air Handlers: TEC *~'~'-)~ ~ Page 2 of 2 · When a Trane air handier is installed with a TRANE XU outdoor unit as part of a complete system, the lO-year limited functional parts warranty applies to the air handler and thermostat as well as the outdoor XLI unit. · Ask your dealer for full warranty information at time of purchase. Warranties apply to residential use only. CapaciL'y TOns (in.) (in.) (in.) (BTUH) http://www, trane.com/Residential/products/AirHandlers/TEC.aspx 3/26/2008 Trane: Products: Air Handlers: TEC Page 1 of 2 CLEAN AIR =- GETTING STARTED --= CUSTOMIZE YOUR SYSTEM -= PRODUCTS m YOUR DEALERS'EXPER118E Air Handlers TRANE 2/4TEC Dependable warmth for your home · compare this produCt with ~ others C~ Take a look inside the 2/4TEC [~1 View the 2TEC Ownerls Manual [~1 view the 4TEC Owner's Manual TRANE 2/4TEC features: VorticaTM Advanced Airflow System (see model chart below) A Trane exclusive, it improves airflow while reducing energy use and operating sound. Special insulation, door gaskets and thermal seals effectively seal in conditioned air, Accessible filters and sloped drain pan make upkeep simple. Long-term performance A galvanized steel cabinet resists corrosion. DID YOU KNOW? can rely on. The 2/4TEC includes: · 3-Speed Indoor Blower · High-Efficiency Fan Motor (5-ton 2TEC/4TEC) · Vortlca Blower Housing for Reduced Sound (see model chart below) · Easy Access Control Box and Filter Doors e Extra-large coil surface · External Refrigerant and Drain Connections Backed by Trane's Industry leading-limited warranty · Five-Year Limited Warranty on intemal functional parts. http ://www.trane.com/Residential/products/AirHandlers/TEC.aspx 3/26/2008 24.DISHVV L~/1536L[ i 54" -- - 39" - ; All.d,mems,o~.~ ~s~e des, .gn~. ,o. ns g,ven are] I TI lis is a~n original design and must not be I I~signcd: 1/12/2008 subject to verification on Job site and ] released or copied unless appfieable fee[ ]Printed: 1/31/2008 adjustment to fit job conditions. ] ha~ been paid or job ordt~c pla '~xl. --1 ORIOLE DRIVE A----105.91 TIE=330.4 GARAGE wOOD FRAME RESIDENCE WOOD OECK W~'O RAILING CELLAR ENTR, 8/3' 10 '07"W N/F CODAN 150. I2' SURVEY OF LOT 57 MAPOF HIGHPOINT MEADOWS SECTION 'PgO SITUAT£ SOUTHOLD, TOWN OF SOUTHOLD SUFFOLK' COUNTY, N.Y'. FM# 981 ! DATE EILED MARCH 19, 1990 1000-055--06-075.40 SURVEYED FOR: RICHARD HOM PATRICIA LoRIVIERE-HOM SURVEYED: 2 OCTOBER 2007 LOT ,37 MAP OF HIGHPOINT MEADOWS SECTION TWO SITUATE SOUTHOLD, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. DATE F~L£D MARCH 19, 1990 TM// 1000-055-06-015.40 GUARANTEED TO: RICHARD HOM PATRICIA LoRIVIERE-HOM COMMONWEALTH LAND TITLE /NS. CO. BETHPAGE FEDEERAL CREDIT UNION SURVEYED FOR: RICHARD HOM PATRICIA LoRIVIERE-HOM SURVEYED: 2 OCTOBER 2007 SCALE 1"= 30" AREA = 21,059 S.F. OR 0.485 ACRES SURVEYED BY STANLEY d. ISAXSEN, dR. P.O. BOX 294 ~YsffNL~cE'~ ~. 4~273 07R'/c, z6